Doctor Name: | SUSAN SEALY ARQUETTE |
NPI Number: | 1023114048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | LP0107 |
Business Practice Address: | Bhsi, Llc, 7616 Currell Blvd Suite 290 Woodbury, MN - 551258204 |
Business Phone Number: | 6517696550 |
Business Fax Number: | 6517696599 |
Mailing Address: | Bhsi, Llc, 2497 7th Ave E, Suite 101 NORTH ST. PAUL |
State: | MN |
Postal Code: | 551092496 |
Phone Number: | 6517696437 |
Fax Number: | 6517696426 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | LP0107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |